Provider Demographics
NPI:1518404029
Name:HULL, LANA JOAN (LPC)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:JOAN
Last Name:HULL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:L
Other - Middle Name:JOAN
Other - Last Name:HULL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2009 MEDFORD RD
Mailing Address - Street 2:G254
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4945
Mailing Address - Country:US
Mailing Address - Phone:734-717-0431
Mailing Address - Fax:
Practice Address - Street 1:781 AVIS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-8959
Practice Address - Country:US
Practice Address - Phone:734-477-0135
Practice Address - Fax:734-477-0213
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-22
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401002941101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health